Question

A 28-year-old woman suffers her first tonic-clonic seizure. She returns to normal between episodes, and investigations reveal no structural abnormalities. When is it recommended to initiate antiepileptic drug therapy?

Accepted Answer

Only after a second confirmed seizure

Answer

Immediately after the first seizure

Answer

After a 24-hour ECG monitoring

Answer

Start prophylactically if imaging is normal

Answer

Initiate therapy only if there is a family history

Practice question

A 28-year-old woman suffers her first tonic-clonic seizure. She returns to normal between episodes, and investigations reveal no structural abnormalities. When is it recommended to initiate antiepileptic drug therapy?